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NR 602 Primary Care Of The Child Bearing And Child Rearing Family Practicum(Case Study)
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Running Head: PEDIATRIC CLINICAL PEARL CASE STUDY 1 Pediatric Clinical Pearl Case Study Assignment Chamberlain University NR 602: Primary Care of the Childbearing and Childrearing Family Practicum May 2021
Category Alcohol/ Substance abuse Issue - Pertinent Negative What did you see that was inappropriate? The mother displayed a very unhealthy, careless, and unsafe demeanor around her toddler son, for example, the mother left an open container with prescribed anxiolytic medication around her son and she also said that her son has eaten the cigarettes left lying around the house. The mother smokes inside the house and drinks alcohol as well. Mother is clueless about the developmental stages and what types of toys or verbal instructions a child this age can do or perform. Pertinent Positive What did you see that was appropriate? Mother is aware of not smoking inside her son’s bedroom but yet is smoking inside the house that is served by the same air conditioning unit. Mother keep the phone number to the poison control center handy in her contacts list Guidelines or Recommendations A child who is exposed to second-hand cigarette smoke in a closed room could be compared to having inhaled the toxins as if that child has smoked ten cigarettes, it is a fact that children breathing is faster than adults and this makes children more prone to inhaling higher amounts of toxins into lungs that are developing resulting in increased respiratory infection s and other conditions such as SIDS, asthma, pneumonia and ear infections. References HEALTH EFFECTS OF SECONDHAND SMOKE ON CHILDREN -
Category Temper Tantrums and Discipline Issue - Pertinent Negative What did you see that was inappropriate? The mother was not speaking to the child or showing the child any patience or understanding for this child level of development, rather the mother just kept screaming loud the word no repeatedly after she has given her son the cellular phone as a toy to play with and she sounded aggravated by her son not using the phone correctly as a teenager would have, but this was a toddler. Pertinent Positive What did you see that was appropriate? The mother changed the type of toy she gave her son and decided to give him a puzzle which was also inappropriate for this child age as well but at least offered a more manual type of distraction than a phone Guidelines or Recommendations Effective discipline consists of three elements, first positive and supportive parent-child relationship, sequential teaching and strengthening of behaviors that are desired, and a planned strategy to decrease unwanted behavior without using hard words or physical punishment References Sege, R., & Siegel, B. (2021). Effective discipline to raise healthy children. Professional/Ethical I see you are very involved and are doing your best to have your child
Communication by Nurse Practitioner to Parent Acknowledg e how they feel. State the facts. Provide education or re- frame the approach. learn from playing with toys and interacting with you. The puzzle was a great toy because children at this age are very much into learning textures, shapes, and colors. I would say if you start reading a book and maybe giving your son toys that are appropriate for his age which many toys packaging will tell you the age for what a toy is sold for then you could increase your son experiences and cognition Category Sleep Routine Issue - Pertinent Negative What did you see that was inappropriate? Having a television in her son’s room and allowing the television to continue throughout the night is unhealthy for the conciliation of the different stages of sleep. It was concerning to hear the mother asked for sleeping aid medication for her son instead of creating better sleeping habits
edge how they feel. State the facts. Provide education or re-frame the approach. Make sure your son also takes naps throughout the day and that the last nap is not too closed to bedtime. Category Healthy Teeth Issue - Pertinent Negative What did you see that was inappropriate? This child is probably lacking several important nutrients as his mother stated that she fed her child orange soft drinks and mountain dew soda. She did not mention anything about other food types and has used the same bottle and nipple since the child was discharged from the hospital. The mother feels that her son is old enough to ask for the food he should have. Pertinent She mentioned that her son has her teeth brushed twice a day And before bed.
Positive What did you see that was appropriate? Guidelines or Recommendatio ns Sugary drinks before bedtime should be replaced by plain water. Fluoride toothpaste help prevent cavities formation; the child must be seen by a dentist at least yearly References Pediatrics.aappublications.org. (2021). https://pediatrics.aappublications.org/content/pediatrics/early/2017/02/15/ peds.2017-0254.full.pdf. Professional/Ethi cal Communication by Nurse Practitioner to Parent Acknowle dge how they feel. State the facts. You are doing excellent by brushing your son’s teeth twice a day and before bed. Daily oral hygiene will improve his dental health by preventing cavities formation. For your son to also be physically healthy he must have a variety of fruits and veggies included in his diet besides soft drinks which provide very little nutrient value to his growth and development.
Recommendations recommends height and weight of infants and toddlers as the indicator for car seat use and that follows manufacturer directions such as car seats should not be placed in the front seat of a car and must be placed in the backseat which is the safest. References Rear-Facing Car Seats for Infants & Toddlers. HealthyChildren.org. (2021). https://www.healthychildren.org/English/safety-prevention/on- the-go/Pages/Rear-Facing-Car-Seats-for-Infants-Toddlers.aspx. Professional/Ethical Communication by Nurse Practitioner to Parent Acknowledg e how they feel. State the facts. Provide education or re- frame the approach. I am so happy to see that you feel concerned about having an eye on your son while driving and that you are using a car seat for your son while driving as well. Driving safety agencies provide best safety practices that limit the number of casualties when driving a car. Recommendations are to have small children facing the rear until they reach a certain height and weight, following these guidelines will help you protect your son better in case of a car accident